Gallstone ileus is uncommon. Gallstone impaction in the jejunum was rarely reported. We report two cases of gallstone impaction in the proximal jejunum and in the distal ileum. One patient was treated with enterolithotomy alone and in the other one enterolithotomy was combined to cholecystectomy and repair of a cholecystoduodenal fistula. Contrast-enhanced computed tomography of the abdomen is the mainstay of diagnosis. One-stage procedure including both enterolithotomy and cholecystectomy with bilioenteric fistula repair should be reserved to low-risk patients.
Gallstone ileus. Report of two cases / Spaziani, Erasmo; Picchio, M; DI FILIPPO, Annalisa Romina; De Angelis, F; Marino, G; Stagnitti, Franco. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 0003-469X. - STAMPA. - 81(1):(2010), pp. 53-55.
Gallstone ileus. Report of two cases.
SPAZIANI, Erasmo;DI FILIPPO, Annalisa Romina;De Angelis F;STAGNITTI, Franco
2010
Abstract
Gallstone ileus is uncommon. Gallstone impaction in the jejunum was rarely reported. We report two cases of gallstone impaction in the proximal jejunum and in the distal ileum. One patient was treated with enterolithotomy alone and in the other one enterolithotomy was combined to cholecystectomy and repair of a cholecystoduodenal fistula. Contrast-enhanced computed tomography of the abdomen is the mainstay of diagnosis. One-stage procedure including both enterolithotomy and cholecystectomy with bilioenteric fistula repair should be reserved to low-risk patients.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
